Individual
MS. SANDRA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
502 S OLD ORCHARD LN STE 126, LEWISVILLE, TX 75067-4374
(972) 436-7962
(972) 420-0085
Mailing address
502 S OLD ORCHARD LN STE 126, LEWISVILLE, TX 75067-4374
(972) 436-7962
(972) 420-0085
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
723656
TX
Other
Enumeration date
12/11/2019
Last updated
12/14/2021
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